RIVER EDGE BEHAVIORAL HEALTH CENTER (NPI# 1487716577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487716577 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Other Organization Name | CHILDS ST. |
| Practice Address |
151 Childs St Gray GA 31032-5637 |
| Practice Telephone | 4787514507 |
| Mailing Telephone | 4787514507 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. EMILY BETH TYLER (CFO) |
| Authorized Official Telephone | 4787523231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00604194J | 05 |
| Other Name | Type Code |
|---|---|
| Childs St. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965848 | River Edge Behavioral Health Center | Community/Behavioral Health | 7741 Roswell Rd Ste A, Atlanta, GA 30350-4845 | 2017-11-08 |
| 1164961876 | River Edge Behavioral Health Center | Community/Behavioral Health | 281 Carl Vinson Pkwy, Suite D, Warner Robins, GA 31088-5824 | 2017-02-14 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1164732384 | River Edge Behavioral Health Center | Community/Behavioral Health | 1243 First Ave, Macn, GA 31204-4177 | 2010-10-21 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| 1104988351 | River Edge Behavioral Health Center | Community/Behavioral Health | 626 Spring St, Macon, GA 31201-2028 | 2006-12-14 |
| 1013079268 | River Edge Behavioral Health Center | Community/Behavioral Health | 217a Emery Hwy, Macon, GA 31217-3615 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVER EDGE BEHAVIORAL HEALTH CENTER | 175 Emery Hwy, Macon, GA 31217-3692 |
| Street Address |
151 CHILDS ST |
| City | GRAY |
| State | GA |
| Zip Code | 31032-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033683933 | Jonathan Parsons | Student in an Organized Health Care Education/Training Program | 151 Childs St, Gray, GA 31032-5637 | 2019-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669120 | True Essential Service, LLC | Home Health | 112 Madison Avenue, Gray, GA 31032 | 2020-01-29 |
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1821404161 | Linda Norman Greene | Home Health Aide | 3562 Gray Highway, Gray, GA 31032 | 2014-07-08 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1245404516 | Louise E Simmons | Nurse's Aide | 426 Liberty Street, Gray, GA 31032 | 2008-04-17 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1477690014 | S & S Medical Management Services, Inc | Durable Medical Equipment & Medical Supplies | 221 West Clinton Street, Suite F, Gray, GA 31032 | 2007-01-31 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| Find all providers in zip 31032 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144612995 | Sade Verdin | Community/Behavioral Health | 3253 W Park Ave, Gray, LA 70359-3512 | 2015-03-02 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1568525624 | Care Focus, Inc. | Community/Behavioral Health | 144 Old Gray Station Rd, Suite 100, Gray, TN 37615-3434 | 2006-12-19 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| 1154481505 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd, Ste. A, Gray, GA 31032-6030 | 2006-12-08 |
| 1245399666 | River Edge Behavorial Health Center | Community/Behavioral Health | 110 Maggie Califf St, Gray, GA 31032-9322 | 2006-12-08 |
| 1720147408 | Frontier Health | Community/Behavioral Health | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2006-12-08 |
| 1669919874 | Christopher Aaron Counseling Center | Community/Behavioral Health | 26 Main St., Gray, ME 04039-2002 | 2017-01-25 |
| 1275926461 | All Pro Behavioral Health Services, LLC | Community/Behavioral Health | 3253 W Park Ave, Gray, LA 70359-3512 | 2015-03-11 |
| Find all providers in GRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.